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DESCRIPTIONS OF MEDICAL FUNGI

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72<br />

Descriptions of Medical Fungi<br />

Cryptococcus neoformans (Sanfelice) Vuillemin<br />

Physiological Tests: + Positive, - Negative, v Variable, w Weak, s Slow, nd No Data<br />

Germ Tube - L-Sorbose - L-Arabinose +,w D-Glucitol +<br />

Fermentation Sucrose + D-Arabinose + α-M-D-glucoside +<br />

Glucose - Maltose + D-Ribose v D-Gluconate +<br />

Galactose - Cellobiose +,w L-Rhamnose + DL-Lactate -<br />

Sucrose - Trehalose + D-Glucosamine v myo-Inositol +<br />

Maltose - Lactose - N-A-D-glucosamine v 2-K-D-gluconate nd<br />

Lactose - Melibiose - Glycerol - D-Glucuronate nd<br />

Trehalose - Raffinose +,w Erythritol - Nitrate -<br />

Assimilation Melezitose + Ribitol v Urease +<br />

Glucose + Soluble Starch + Galactitol + 0.1% Cycloheximide -<br />

Galactose + D-Xylose + D-Mannitol + Growth at 37 O C +<br />

Key Features: Encapsulated yeast; absence of pseudohyphae; growth at 37 O C;<br />

positive hydrolysis of urea; negative fermentation of sugars and positive assimilation<br />

of glucose, maltose, sucrose, galactose, trehalose, raffinose, inositol, cellobiose,<br />

rhamnose, arabinose, melezitose and xylose, and negative assimilation of nitrate,<br />

lactose, melibiose, erythritol and soluble starch; growth on bird seed (Guizotia<br />

abyssinica seed) or caffeic acid agar - colonies turn a dark brown colour; does not<br />

grow on CGB agar (no colour change).<br />

Antifungal Susceptibility: C. neoformans (Australian National data); MIC µg/mL.<br />

Note: All Cryptococcus species are intrinsically resistant to echinocandins.<br />

No. 64<br />

AmB 236 2 5 17 82 57 57 16<br />

FLU 236 1 10 32 40 65 65 16 6 1<br />

VORI 197 27 25 54 63 23 4 1<br />

POSA 152 1 9 29 39 46 24 4<br />

ITRA 236 2 10 37 72 90 20 4 1<br />

5FC 236 1 1 5 20 45 66 61 33 2 2

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